| NPI | 1659985240 |
|---|---|
| Doing Business As | JACKIE CHANG THERAPY |
| Entity Type | Organization |
| Authorized Contact | MENG CHANG Owner/CEO 408-916-3463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |